Individual
CARLA MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
111 FAYETTE AVE, FAYETTEVILLE, WV 25840-1219
(304) 574-1176
(304) 574-3643
Mailing address
111 FAYETTE AVE, FAYETTEVILLE, WV 25840-1219
(304) 574-1176
(304) 574-3643
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
70845
WV
Other
Enumeration date
10/03/2018
Last updated
10/03/2018
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